Comparison of telehealth and in-person mental health care in military veterans and active-duty service members.

IF 1.9 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Psychological Services Pub Date : 2024-05-23 DOI:10.1037/ser0000868

Steven L Lancaster, David J Linkh, Claire E Lawless, Stephanie Renno

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Abstract

Telehealth services are increasingly utilized to improve mental health care access for active-duty service members (ADSM) and military veterans. This article examines mental health outcomes for veterans (n = 4,536) and ADSMs (n = 378) who met Diagnostic and Statistical Manual of Mental Disorders, fifth edition diagnostic criteria for depression, posttraumatic stress disorder, or generalized anxiety disorder (N = 4,914) and were treated at Cohen Veterans Network Clinics using either telehealth or in-person treatment modalities. Results demonstrate small but statistically significant advantages for telehealth in terms of discharge scores, rates of clinically significant change, and efficiency of treatment. For depression and posttraumatic stress disorder, veterans reported greater changes than ADSMs, but there was no interaction between treatment modality and client type. These findings support the use of telehealth as a viable option for mental health care in these populations, while suggesting several areas requiring further study. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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比较退伍军人和现役军人的远程保健和面对面心理保健。

为改善现役军人（ADSM）和退伍军人的心理健康医疗服务，远程医疗服务正被越来越多地用于改善现役军人和退伍军人的心理健康医疗服务。本文研究了符合《精神障碍诊断与统计手册》第五版抑郁症、创伤后应激障碍或广泛性焦虑障碍诊断标准的退伍军人（n = 4,536 人）和现役军人（n = 378 人）（n = 4,914 人）在科恩退伍军人网络诊所（Cohen Veterans Network Clinics）接受远程保健或面对面治疗的心理健康结果。结果表明，在出院评分、临床显著变化率和治疗效率方面，远程医疗的优势虽小，但在统计学上具有显著意义。在抑郁症和创伤后应激障碍方面，退伍军人报告的变化比 ADSM 更大，但治疗模式与客户类型之间没有交互作用。这些研究结果支持在这些人群中使用远程医疗作为心理保健的可行选择，同时也提出了需要进一步研究的几个领域。(PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychological Services PSYCHOLOGY, CLINICAL-

CiteScore

4.20

自引率

13.00%

发文量

216

期刊介绍： Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.